This patient has been given anaesthetic for a surgery on the perineum,which anaesthesia would lead to such prominent ,engorged veins of the penile skin
Anonymous Quiz
46%
Penile block
33%
Spinal anaesthesia
16%
Epidural
5%
General anaesthesia
Forwarded from Angeline Radjou
The following is true of the Short saphenous vein that is seen here (Arrow)
a)It is accompanied by the peroneal nerve
b)It is seen the proximal calf, between heads of gastrocnemius
c)Cranial extension in the posterior thigh called Giacomini vein
d)The Giacomini vein is the communication between the short saphenous vein and long saphenous vein at mid thigh
a)It is accompanied by the peroneal nerve
b)It is seen the proximal calf, between heads of gastrocnemius
c)Cranial extension in the posterior thigh called Giacomini vein
d)The Giacomini vein is the communication between the short saphenous vein and long saphenous vein at mid thigh
The following is true of the Short Saphenous vein (arrow)
Anonymous Quiz
9%
It is accompanied by the personal nerve
14%
It is visible between the heads of gastronemius
50%
It may drain into the deep system by the Giacomeni vein in the mid thigh posteriorly
28%
It may extend cephalad as the Giacomeni vein and drain into GSV vein at mid thigh
Following is true about swallowed foreign body(needle) in the GI Tract.
Anonymous Quiz
16%
The sharper end tends to travel down the GI first
49%
If in the body of stomach mandates endoscopic removal
14%
Liquid paraffin and other laxatives are safe
21%
Can be expected to pass in the stool most of the time
👍2
This pedestrian was run over by a lorry .The biochemistry results that you would find in him
Anonymous Quiz
39%
Raised blood urea / myoglobin , hyperkalemia and acidosis
28%
Raised urea / myoglobin, hypokalemia and acidosis
23%
Raised urea / myoglobin hyperkalemia and alkalosis
9%
Raised urea / myoglobin , hypokalemia and alkalosis
How to answer??
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .
All images and scenarios , imaging and biochemistry from my personal collection.No imagination.🙏
Forwarded from Angeline Radjou
The same image figured figured in an earlier quiz.The gastric aspirate was about 2 litres yesterday....the amount of sodium you need to replace apart from maintenance today is
Anonymous Quiz
40%
120meq
39%
60 meq
17%
80 meq
4%
40 meq
👍1
All are true of the acid base balance that will occur due to upper GI losses except
Anonymous Quiz
33%
Metabolic acidosis
32%
Metabolic alkalosis
14%
Paradoxical aciduria
21%
Does not need a specific exogenous buffer to correct the imbalance
👍1
👆this video will clear doubts why paradoxical aciduria happens....A person losing H ions through upper GI should conserve H ions by the kidney.Logical! But he starts losing H ions from the kidney too.physiological hierarchy to preserve volume triggers this.Details in video.